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General NPI Number Information
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NPI Number | 1942748645
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Entity Type | Organization
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Legal Business Name | PATMOS CONSULTING LLC
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 5445 LA SIERRA DR STE 202
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City | DALLAS
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State | TX
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Zip | 75231-4176
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Country | US
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Telephone | 214-812-9399
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Fax | 214-812-9816
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Provider Business Mailing Address
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Address Line | 5445 LA SIERRA DR STE 202
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City | DALLAS
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State | TX
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Zip | 75231-4176
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Country | US
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Telephone | 214-812-9399
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Fax | 214-812-9816
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL CHRISTOPHER MULVANY
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Credential | PHARMD.
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Telephone | 214-812-9399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31205
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License Number State | TX
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